Provider Demographics
NPI:1285369702
Name:ROWLEY, KYLE LOREN (PHARMD)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:LOREN
Last Name:ROWLEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W 1325 N
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-7791
Mailing Address - Country:US
Mailing Address - Phone:435-867-0800
Mailing Address - Fax:435-867-0825
Practice Address - Street 1:108 W 1325 N
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-7791
Practice Address - Country:US
Practice Address - Phone:435-867-0800
Practice Address - Fax:435-867-0825
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4873740-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist